Civia Wiesner, M.A., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP6171 Issued in OH

Practice address

470 Center St BLDG 2
Chardon, OH 44024-1071

Phone

(440) 279-1700

NPI assigned

Feb 10, 2014

Last updated

Feb 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1396169421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CENTER ST BLDG 2",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241071",
            "telephone_number": "440-279-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CENTER ST BLDG 2",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241071",
            "telephone_number": "440-279-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "CIVIA",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP6171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshaunda White
• Morgan Whitely, M.ED., LPCC-S
• David Leon Whitten, HEARING AID FITTER
• Kathryn Whitten, PA-C
• Jeffery Wieland, DPM
• Erin Wiggins
• Craig Will
• Christina Williams, QMHS
• Savannah Williams, LISW
• Shannon Williams

• Speech-Language Pathologist in Chardon, OH
• Providers in Chardon, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.